Instance-Guided Report Anchoring (IGRA) is a model-agnostic module that links each abnormality instance in a chest CT to the corresponding finding in a radiology report during training, while discarding text components at inference. By reformulating free-text grounding as multi-label volumetric segmentation, IGRA allows all abnormality categories to be predicted in a single image-only forward pass. The method improves Dice scores by 22.5% over the strongest image-only baseline and matches state‑of‑the‑art performance on single-finding subsets, with consistent gains across multiple 3D segmentation backbones and datasets.
By Zhenyu Bu, Haoyan Ding, Chushu Shen, Xinyuan Zheng, Peiyu Duan, Xueqi Guo, Sepehr Farhand, Yoshihisa Shinagawa, Gerardo Hermosillo, Chaowei Wu
arXiv:2608.28455v1 Announce Type: new
Abstract: Contrastive vision-language learning uses paired chest CT volumes and radiology reports to learn abnormality classifiers without manually annotated lab...
By Huseyin Umut Isik, Mehmet Alp Ozaydin, Sila Kurugol, \c{S}eyda Ertekin
NV-Reason-CT is a generative vision‑language model designed for chest and abdominal CT analysis that preserves native 3D visual encoding and incorporates radiologist‑guided reasoning. The system couples a 3D vision transformer with a language model, feeding all visual tokens and their 3D coordinates directly into language decoding to maintain volumetric spatial information. Trained on a curated corpus of about 550,000 multimodal instruction examples, the model supports abnormality classification, report generation, and interactive reasoning, achieving strong performance on CT benchmarks and reducing expert interpretation time by 50%.
By Andriy Myronenko, Dong Yang, Yucheng Tang, Baris Turkbey, Benjamin Simon, Stephanie Harmon, Rikhil Makwana, Mariam Aboian, Sena Azamat, Ibrahim Ethem Hamamci, Sezgin Er, Bjoern Menze, Marc Edgar, Yufan He, Pengfei Guo, Daguang Xu
arXiv:2608. 05960v1 Announce Type: cross Abstract: Routine CT interpretation is inherently comprehensive, capturing incidental findings across the entire scan volume.
By Maulik Chevli, Johannes Brandt, Rickmer Braren, Daniel Rueckert, Philip M\"uller
arXiv:2607. 02998v1 Announce Type: cross Abstract: Controllable generative models of 3D medical images can synthesize volumes with specified clinical attributes, but this demands samples that are simultaneously high-fidelity, natively 3D, and faithful to the requested conditioning.
By Max Van Puyvelde, Halil Ibrahim Gulluk, Wim Van Criekinge, Olivier Gevaert
arXiv:2607. 02998v2 Announce Type: replace-cross Abstract: Controllable generative models of 3D medical images can synthesize volumes with specified clinical attributes, but this demands samples that are simultaneously high-fidelity, natively 3D, and faithful to the requested conditioning.
By Max Van Puyvelde, Halil Ibrahim Gulluk, Wim Van Criekinge, Olivier Gevaert
arXiv:2611.06471v1 Announce Type: new
Abstract: Radiologists interpret computed tomography (CT) scans by jointly determining what a finding represents and where it lies in three-dimensional (3D) anat...
By Yulu Xie, Zilong Li, Shen Xu, Yifan Bai, Liuhong Shi, Jiao Chen, Xianglei Kong, Wenchao Zhu, Na Shen, Xianghua Ye, Yang Yan, Jiaju Zheng, Yunsong Peng, Yanzhou Su, Chaohui Yu, Hao Luo, Fan Wang
arXiv:2607. 25164v1 Announce Type: cross Abstract: A CT examination captures multiple organs, but many biomedical questions concern abnormalities, prognosis, or longitudinal change in a specific organ.
By Zhixuan Ge, Anqi Li, Sadeer Al-Kindi, Hanwen Xu, Wei Qiu
arXiv:2604. 19191v2 Announce Type: replace-cross Abstract: Deploying AI-based anomaly detection across diverse clinical imaging settings remains challenging because most existing methods rely on modality-specific architectures, anatomical priors, or extensive retraining, limiting their use as general-purpose screening tools.
By Pritam Kar, Gouri Lakshmi S, Saptarshi Bej
DALE-CT introduces depth‑aware 2D slice encoders that learn an anatomical world model of chest CT scans without 3D or positional supervision. By sampling self‑supervised views across a physical $z$‑axis slab, the encoder captures how anatomy changes between neighboring slices, enabling it to recover slice ordering and distinguish slices by anatomy alone. The model, trained on a large 287k‑scan corpus, achieves state‑of‑the‑art performance on CT‑RATE and is released with full code and evaluation tools.
By Evan W. Damron, Mahmut S. Gokmen, Mitchell A. Klusty, Caroline N. Leach, Emily B. Collier, V. K. Cody Bumgardner
The article reviews how multimodal large language models (MLLMs) are expanding radiology AI beyond image‑specific tasks to multimodal reasoning, yet volumetric radiology poses a representational challenge because clinical interpretation needs full 3‑D spatial context and quantitative data. It surveys over 200 studies, categorizing advances in volumetric representation, multimodal understanding, and agentic orchestration, and introduces a Claim‑Design‑Validation framework to align technical, workflow, and clinical claims. The review emphasizes that native volumetric modeling and agentic capabilities must match spatial, quantitative, contextual, and workflow demands, and that clinical credibility hinges on faithful 3‑D representation, traceable behavior, proper validation, and defined human oversight.
By Zanting Ye, Shengyuan Liu, Xin Liu, Chenhui Wang, Zhisong Wang, Jiashuai Liu, Zipei Wang, Cheng Wang, Wentao Pan, Mengjie Fang, Di Dong, Mohammad Salmanpour, Arman Rahmim, Yu Gu, Yong Xia, Hongming Shan, Yixuan Yuan, Yefeng Zheng, Lijun Lu
AnyCXR is a unified framework that performs multi-organ segmentation on chest X-rays taken at any projection angle using only synthetic data. It employs a Multi-stage Domain Randomization engine to generate over 100,000 anatomically accurate synthetic radiographs from 3D CT volumes, and a Conditional Joint Annotation Regularization strategy to learn from partial, imperfect labels by enforcing anatomical consistency in a latent space. Trained solely on synthetic data, AnyCXR achieves strong zero-shot generalization on real-world datasets, accurately delineating 54 anatomical structures across PA, lateral, and oblique views, and supports downstream clinical tasks such as cardiothoracic ratio estimation, spine curvature assessment, and disease classification.
By Zifei Dong, Wenjie Wu, Jinkui Hao, Tianqi Chen, Ziqiao Weng, Bo Zhou